NPI | 1518054998 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY S. TRAUB Director 954-783-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7394) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY3620) |
Enumeration Date | 2006-10-06 |
Last Update Date | 2016-03-30 |